There is practically no person who at least once in his life would have no pain in the lower back.With this, we pay the revolt and our domestic habits.
In addition to the damage that can influence the spine, its muscles, nerves and ligaments, it should be kept in mind that sometimes the back in the lower support area hurts in internal diseases: kidney diseases, gastrointestinal tract and female genital organs.
The symptoms of pain in the lower back can vary from stupid to acute.Pain can take place independently or go to chronic (the symptom is present more than three months).
Dangerous!
Take a doctor immediately if:
- The pain in the lumbar region was bucked after an obvious back injury;
- The temperature has increased abruptly, there are autonomous disorders, loss of consciousness, sweating, breathing difficulty;
- The involuntary emptying of the intestine and bladder occurs;
- Numbness is heard in the groin;
- There was a weakness of the lower limbs, of their paresis or paralysis, altered sensitivity;
- The pain is given to the stomach and intensifies abruptly with cough or sneezing;
- The symptoms appeared against the background of a strong weight loss, long -term use of steroids, immunodeficiency;
- In family history, there have been cases of cancer, inflammatory or degenerative diseases of the bone tissue.
Why does the back hurts in the lower back?
Mifascial pain
Muscle stretching or spasm can develop gradually or take place suddenly.With a high load, the damage is influenced not only by the muscle fibers, but also by a binding and band system.
The muscle coating pains appear after:
- Get heavy weights or excessive load during work or sport;
- Sport from time to time.The muscles are particularly vulnerable, if you are inactive during the working week and then spend the clock in the gym on the weekend;
- A strong increase in the weight of one's body, behind which the muscles do not have time to grow;
- Long sitting or standing in an uncomfortable position;
- Wear every day of a bag in one of the hands or above the shoulder;
- Moster Disorders.The spine performs its support and protective function better when it does not bend.The muscles in the lower part of the back experience the smallest load when you sit with good support under the lower back and in the position, the weight is evenly distributed to both legs.
If the rear is sick after a bruise, a fracture, an elongation, hypothermia, an infectious disease or the installed elmintic invasion, the myosite (inflammation) of the back muscles can be suspected.The serious pain is constantly present due to the inflammation of the muscle fibers, the "nodules" makes itself felt in the spasm of the muscles.Inflammation can be acute or to take on a chronic form.With a long cycle of illness, the pain is unstable, intensified with lying down or sitting prolonged, closer in the evening or to change the time.By touching the muscles it causes a feeling of pain and discomfort, the back muscles are in constant tension, the form of inflammatory edema, the temperature increases at the local level and at the level of the whole body.
In the case of muscle spasm, the roots of the spinal nerves are violated, therefore the attacks often resemble a picture of ISHIA or Radicolite: you can see severe serious pains on the back of the thigh and the lower part of the leg, the limbs are insensitive and lose sensitivity.A muscle tone pronounced for myosite causes the patient to take a forced position, walks and removes, moves on the legs in half.
How to treat the muscle pain of the spine?To eliminate inflammation and pain, nonsteric anti -inflammatory anti -inflammatory drugs and analgesics are used.Medicines can be taken in the form of tablets, ointments, injections, transdermal criminals with a gradual release of active substances.An irritating and heating ointments are also used, which reflect the blood flow to the muscles of the lower back reflected.A greater volume of flowing blood helps to smooth the products of inflammation and decay of the tissues.
The injections of corticosteroids and vasodotonizing drugs contribute to a decrease in inflammatory edema.
If the cause of the myosite is an infection or poisoning of the body with toxins of the worms, then the therapy is initially carried out with anti -iotics or antielminic agents.In this case, it is impossible to use heating or compresses.
Diseases of the ridge involving nerve endings
In the lumbar section, the vertebrae are separated by elaginous cartilage discs that protect the crest from lesions, but themselves are subject to wear and aging.
Normally, the disc is a pulpic nucleus similar to gelatin surrounded by a more dense layer of a fibrous ring.The elasticity of the nucleus is due to its ability to tie and retain water: when the load increases, it accumulates water and elasticity increases, when the pressure is reduced, the core gives water and becomes more flat.
Osteochondrosis in the spinal department develops in the event of violation of food discs (their "drying") or with an excessive local load.Very often, the pains of the lower back are due to the fact that the lowest poles of its intervertebral discs bring the largest load during the seat, when the weights are raised in front of themselves.At the same time, tears, movements are formed in the discs, vertebral ligaments are damaged, constant pain and pulsation occur.
The pain in the spine has several development mechanisms:
- Violation of the microcirculation in the tissues surrounding the spine and, in particular, in the cerebrospinal channel, the formation of congestion and edema.These conditions develop against the background of hypothermia, overheating, inflammatory processes.
- Degenerative processes in the fixing ligaments of the spine.An increase in the mobility of the vertebrae leads to their easy movement and physiological compression, which causes violation of the nerves, blood vessels and the formation of hernias.
- The axial compression of the vertebrae when they raise weights or their damage with excessive rotation (rotation).
- Aseptic inflammation.The destruction of the nucleus leads to the exit in the cerebrospinal channel of sensitizing factors.An irritation of nerve endings occurs, which causes a spasm of muscles that violate the nearby vertebrae - higher and under the hernia.Gradually, the reaction covers the entire lumbar and leads to the fact that any movements cause a feeling of pain.
The weakened disc can be torn with the formation of protrusion, protrusion or prolapse of the nucleus and, consequently, an hernia.The appearance of a hernia exerts pressure on the spinal cord and the roots of the spinal nerves.In such conditions, the pain in the lower back appears abruptly, which differs along the violated nerve.The most famous cases of compression of the sciatic nerve (ISHIAS) manifest themselves from severe pain on the rear surface of the thigh and the lower part of the leg, numbness of the limb on the side of the Arnia, muscle weakness, involuntary legs.
The pain in the lumbar column intensifies in a sitting position and standing, with curves, inclinations.Often there is a protective muscle reaction: a painful contraction of the muscles (rollers) on both sides of the spine, which isolates the department from the excess movement.Osteochondrosis following the appearance of the lumbosacral root (inflammation of the roots of the spinal nerves).
The spine syndrome is dangerous with the violation of the back of the back responsible for the conclusion of the internal organs (roots of the horse tail).At the same time, stomach pain is given, the function of the bladder and the intestine is compromised, power problems arise in men and gynecological diseases in women.
Many patients, due to the fact that the lower back is very bad, take analgesic poses, reduce the body to the left if the right side hurts;Lying on the right side if the hernia is on the left.Even the appearance of severe pain when it is pressed on an hernia in the intervertebral interval (call symptom) is characteristic.
Rather than treating if the back hurts for osteochondrosis:
- During the attack of the pain, you can take an anesthetic pose: lie on the back and put the roller under your knees.It is also recommended to sleep on a hard surface;
- From analgesic drugs, you can take fans inwards or in the form of injections on both sides of the spine in the lumbar hotel;
- Use local cultivation agents such as distracted therapy - mustard patches, iodine shirt, peppers and ointments;
- Eliminates the mythical spasm by means of manual therapy, acupuncture, emptiness massage, reflexology, gymnastics;
- When fading the acute period, you can use mud treatment, ozokerera, heating.
The treatment of pain with root syndrome includes:
- guarantee the bed regime, traction of the lumbar region (dry or underwater);
- the use of analgesic block in the place of violation, reception of weak fans or opiates;
- Physiotherapy - stimulation of microcurrene, electrophoresis with analgesics.
The indications for the operation are a constant acute pain, as well as a violation of the function of the internal organs, the development of the paralysis of the limbs, the seizure of an hernia in the spinal canal.
Degenerative-inflammatory lesions
During the degeneration there is a spondylartosis (inflammation of the arched joints of the vertebrae), a decrease in the height and volume of the intervertebral discs.The pains of the lower back appear from the overload of the capsule and increase the pressure on the surface of the intervertebral joints.Pain makes the patient folds more in the lower back, thus increasing the overload of the intervertebral joints.In particular, the discomfort in the lower back has improved wearing shoes with heels, long walks, lowering the slopes, the position when the body leaves behind, for example, when considering something above the head.
In patients with this diagnosis in the morning, there is a rigidity in the lower back, the pain increases during the day or after load.It has a poured character and it is difficult to clearly show the boundaries: the discomfort is determined in the buttock muscles, in the inguinal region, in the lower abdomen, in the scrotum in men.This spondylartosis differs from the root syndrome, when it is possible to indicate a source of pain.
What to do to relieve pain?Usually, the adoption of the situation on the back helps, bending the legs in the hip and knee joints.
Drugs, preference is given to non -pound and non -narcotic non -pound and analgesic drugs.With acute back pain, an intramuscular introduction of fans gives an intramuscular effect.
Museums are also added, as they relieve muscle tension and improve the mobility of the spine.
Psychotherapy has a positive effect, since chronic pain introduces the patient into a state of depression.
Spondylosis, unlike the osteocondrosis, affects the fibrous ring of the intervertebral disc and the front longitudinal ligaments.With this disease, the structures of the composite tissues are used with the formation along the edge of the vertebrae of the outcrops - osteophytes.These formations cause a violation of the microcirculation near the roots of the nerves and lead to the fact that the back hurts the lower back and the mobility of this department is limited.
The treatment is generally conservative, using anti -inflammatory, analgesic, vitamins drugs.A good effect gives electrophoresis, manual therapy, physiotherapy (amplipulse, laser installation, shock wave therapy to destroy compact elements and increase the mobility of the spine).
Be careful!
In an advanced stage, osteophytes are not absorbed.While their dimensions are small, the treatment aims to eliminate inflammation, pain, improvement of metabolism.If the rear part does not hurt much, then nothing is done with the growths.If osteophytes cause constant pain or have large size, they can be removed during the operation.
Tumor nature diseases
Low pain can occur from the compression of the spinal cord with a tumor from the outside (extramidulular formations) and from the inside (intramidollaro, originating from the spinal substance itself).
Cells of various tissues can grow pathologically:
- Fat - Lipoma is formed;
- Nervous roots - Neurioma;
- spinal cord vases - emangioma;
- Auxiliary tissue - Gloma;
- bone tissue - osteosarcoma;
- Cartilage fabric - Condrosarcoma.
The tumor process, in particular evil, is characterized by pain, which recalls radicalitis (it can have a nature on the side and bilateral), a general deterioration of the patient's conditions, the exhaustion.
If the pathology affects the lumbar vertebrae I - IV, we feel the burning pain in front and on the sides of the upper part of the thigh, the incomplete paralysis of this area.
In the event of damage in the area of IV lumbar segments, numbness of the paraghenic region, compromise engines and sensitive innervations of the buttock muscles, the back of the thigh, the calf and the incontinence of stool and urine.
A pronounced violation in the work of the pelvic organs occurs during the neoplasm in the area of the sacral vertebrae V - III.The patient suffers from sexual impotence or violation of menstruation, constipation or incontinence of stool and urine.
The treatment of tumors is specific, painkillers and anticancer drugs are prescribed.
As you can see, back pain is generally caused by musculoskeletal pathologies.They can be diagnosed with clinical signs and study data, the main task of which is correctly determining the nature of the disease and not to confuse it with cancer, diseases of internal organs or injuries.If back pain appears, we always recommend looking for a neuropathologist or an orthopedist for advice.